| NPI | 1437739877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011084A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016001) |
| 208D00000X General Practice (Licence: KY 3016001) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 7101011084A) | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-10-12 |